Active NPI
Perry Counseling Services, LLC
- Mental Health Counselor
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PERRY COUNSELING SERVICES, LLC
- Practice address
- 107 E Main St Ste 8
Medford, OR 97501-6022 - Phone
- (405) 699-1104
- Fax
- (541) 499-0271
- NPI assigned
- Apr 26, 2021
- Last updated
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Almyra J. Perry, LPC
- Title
- Owner & Counselor
- Phone
- (405) 699-1104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
107 E Main St Ste 8
Medford, OR 97501-6022
Mailing address
860 Ivern Dr
Central Point, OR 97502-3621
Phone (405) 699-1104
Other practice location 1
860 Ivern Dr
Central Point, OR 97502-3621
Phone (972) 839-2590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500717535 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
107 E Main St
Ste 8
Medford, OR 97501
Phone (541) 890-9714
24 Crater Lake Ave
Ste 4
Medford, OR 97504
Phone (405) 699-1104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Medford, OR
- NPI 1043760986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1437731601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 IVERN DR",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975023621",
"telephone_number": "405-699-1104",
"fax_number": "541-423-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E MAIN ST STE 8",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975016022",
"telephone_number": "405-699-1104",
"fax_number": "541-499-0271"
}
],
"practiceLocations": [
{
"address_1": "860 Ivern Dr",
"address_purpose": "LOCATION",
"city": "Central Point",
"state": "OR",
"postal_code": "975023621",
"country_code": "US",
"telephone_number": "972-839-2590",
"fax_number": "541-423-5313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PERRY COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "ALMYRA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER & COUNSELOR",
"authorized_official_telephone_number": "405-699-1104",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500717535",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.